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Question Billing for Albuterol Inhalers, IV Supplies, Saline at a Cardiovascular Practice

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Hi We occasionally use these supplies in our office. Can we bill for them? If so, for example for the Albuterol Inhaler sometimes (about 2 per week) we have to give them to the Patient for a one time use for the Lexiscan. If the Patient is established, we give it to them afterward. If not, we throw it away. Would be bill the J7609 and for the ones we give them bill total inhaler and the ones we throw away just bill for the portion used and then bill for the waste? Can we bill for the IV Supplies and Saline used here? If so, how would we bill them? Thanks for any help you can offer.
 
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